Individual
EVAN JOSEPH LUDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97757
(541) 706-3765
Mailing address
PO BOX 6096, BEND, OR 97708-6096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA176864
OR
Other
Enumeration date
10/10/2014
Last updated
06/30/2023
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